Department of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
J Reconstr Microsurg. 2010 Oct;26(8):555-8. doi: 10.1055/s-0030-1262950. Epub 2010 Jul 16.
Testicular autotransplantation is an advanced technique for the correction of high intra-abdominal testicles with inadequate vascular length for repositioning in the scrotum. In the past, surgeons have often avoided this approach due to the extended operative time and the requirement for microsurgical equipment and training. Surprisingly, this procedure remains rare despite the fact that autotransplantation is sometimes the most viable option to relocate the testicle. Further, current advances in laparoscopic surgery allow for testicular harvesting with minimal morbidity and maximal vascular pedicle length. Here, the evolution and an approach combining these two techniques implemented successfully in five patients are presented.
睾丸自体移植是一种先进的技术，用于矫正高位腹腔内睾丸，这些睾丸由于血管长度不足，无法重新定位到阴囊中。过去，由于手术时间延长以及需要显微外科设备和培训，外科医生常常避免采用这种方法。令人惊讶的是，尽管自体移植有时是将睾丸重新定位的最可行选择，但该手术仍然很少见。此外，腹腔镜手术的最新进展使得在最小的发病率和最大的血管蒂长度下进行睾丸采集成为可能。在此，介绍了这两种技术的演变过程，并成功地将这两种技术结合应用于五名患者。
